Premier Dermatology Associates, Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

PREMIER DERMATOLOGY ASSOCIATES, INC

Practice address

825 Coral Ridge Dr
Cardiovascular Suites
Coral Springs, FL 33071-4180

Phone

(305) 810-8846

NPI assigned

Dec 8, 2023

Last updated

Dec 8, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Arkady Kalyuzhny

Title

President

Phone

(917) 804-4553

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1730956855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 AMHERST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354117",
            "telephone_number": "917-804-4553",
            "fax_number": "917-975-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 CORAL RIDGE DR",
            "address_2": "CARDIOVASCULAR SUITES",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330714180",
            "telephone_number": "305-810-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DERMATOLOGY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "KALYUZHNY",
        "authorized_official_first_name": "ARKADY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-804-4553",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giatri Preetam
• Preferred Foot and Ankle, LLC
• Preferred Medical Supply LLC
• Preferred Primary Care Associates LLC
• Lily Beatriz Prellezo
• Premier Pain Management, PLLC
• Premier Primary Care Corporation
• Premise Health of Florida Medical PA (City of Coral Springs)
• Premium Vision Group (Premium Eye Care)
• Chad Allen Prescott, CRNA

• Dermatology Physician in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.